A practical treatise on fractures and dislocations . e maxillary strap is narrow under the chin, to avoid pressure uponthe front of the neck, but immediately becomes wider, so as to coverthe sides of the inferior maxilla and face, after which it gradually di-minishes, to accommodate the buckle upon the top of the head. Theanterior margin of this band, at the point corresponding to the sym-physis menti, and for about two inches on each side, is supplied withthread-holes, for the purpose of attaching a piece of linen, which, whenthe apparatus is in place, shall cross in front of the chin, and pr
A practical treatise on fractures and dislocations . e maxillary strap is narrow under the chin, to avoid pressure uponthe front of the neck, but immediately becomes wider, so as to coverthe sides of the inferior maxilla and face, after which it gradually di-minishes, to accommodate the buckle upon the top of the head. Theanterior margin of this band, at the point corresponding to the sym-physis menti, and for about two inches on each side, is supplied withthread-holes, for the purpose of attaching a piece of linen, which, whenthe apparatus is in place, shall cross in front of the chin, and prevent themaxillary strap from sliding backwards against the front of the neck. The advantage of this dressing over any which I have yet seen, con-sists in its capability to lift the anterior fragment almost vertically,while at the same time it is in no danger of falling forwards anddownwards upon the forehead. If, as in the case of most other dress-ings, the occipital stay had its attachment opposite to the chin, its FRACTURES OF THE LOWER JAW. 135. effect would be to draw the central fragment backwards. By using afirm piece of leather, as a maxillary band, and attaching the occipitalstay above the ears, this difficulty is completely obviated. Having removed such teeth as are much loosened at the point offracture, and replaced those which are loosened at other points, unlessit be far back in the mouth, and ad-justed the fragments accurately, thelower jaw is to be closed completelyupon the upper, and the apparatussnugly applied. It is not necessaryin most cases to buckle the strapswith great firmness, since experiencelias shown that a sufficient degree ofimmobility is usually obtained whenthe apparatus is only moderatelvtight. If the integuments are bruised andtender, a compress made of two ormore thicknesses of patent lint shouldbe placed underneath the chin, be-tween it and the leather. If the inability to introducenourishment between the teeth whenthe mouth is closed, or the
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
